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Tashkin DP, Coulson AH, Clark VA, Simmons M, Bourque LB, Duann S, Spivey GH, Gong H

Before the survey, the school principals provided participants parents with the details of the survey

Tobacco-free alternatives use materials like hemp, palm leaf, or other plant fibers that burn cleanly without the addictive properties or harsh throat hit of tobacco

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This chronic inflammation increases the risk of respiratory infections and other lung conditions, as the bodys ability to fight off harmful pathogens is compromised